FORT MILL NEUROLOGY LLC NPI 1811751043

NPI Information

  • NPI: 1811751043
  • Provider Name: FORT MILL NEUROLOGY, LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 1918 MASONS BEND DR
    FORT MILL, SC
    ZIP 29708
  • Phone: (907) 414-8413

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NPI Details

FORT MILL NEUROLOGY, LLC is a neurology psychiatry neurology in Fort Mill, SC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. FORT MILL NEUROLOGY, LLC NPI is 1811751043. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1918 MASONS BEND DR
FORT MILL, SC
ZIP 29708-061
Phone: (907) 414-8413

The provider's authorized official is David Dwight Buckland .
The authorized official title is Owner and has the following contact phone number (803) 412-4720.

The enumeration date for this NPI number is 2/8/2024 and was last updated on 8/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes
2261QM2500XClinic/CenterMedical SpecialtyNo

What is NPI?

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This page was last updated on: 11/21/2025

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